This first of its kind paper describing the Pittsburgh Upper Extremity Transplantation Anesthesiology Protocol was first authored by Dr. R. Scott Lang, pediatric pain fellow at Children's Hospital of Pittsburgh and written when he was a senior resident in the department as his research project. This work was mentored by Professor Raymond M. Planinsic, MD, Director of Transplantation Anesthesiology at UPMC, who served as Dr. Lang's advisor on this project and the paper’s corresponding author.